Dental
Mountain Oral & Maxillofacial Surgery
Mountain Oral & Maxillofacial Surgery was paid $39K by Medicaid between May 2018 and Apr 2022, across 5 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 29% of everything it billed.
33Billing provider infoMOUNTAIN ORAL & MAXILLOFACIAL SURGERY
ARVADA, CO 80005
ARVADA, CO 80005
33aNPI1245676907assigned 05/21/2013
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$39K
24GClaims469
24DCodes billed5
24AFirst – last monthMay 2018 – Apr 2022
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Colorado
Rank by total paid#39 of 59
Median peer was paid$152K
This provider vs. median0.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 73 | $3K | |
| 2019 | 284 | $30K | |
| 2020 | 62 | $3K | |
| 2021 | 24 | $1K | |
| 2022 | 26 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 29% | 42 | 14 | $11K |
| D0330 | Panoramic radiographic image | 22% | 168 | 167 | $9K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 20% | 42 | 42 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 17% | 175 | 174 | $7K |
| D9222 | 12% | 42 | 42 | $4K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRYAN, ROBERT (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Lake Superior Dental Associates | Duluth, MN | $122K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.